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Yewtree Care Limited t/a Yewtree Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 July 2021

About the service

Yewtree Nursing Home is a residential care home providing personal and nursing care to 31 people with various support needs, including brain injury, learning disability, physical and/or sensory impairment. The service can support up to 40 people. The home is set in easily accessible grounds and consists of one adapted building. There were a range of communal areas for people to enjoy.

People’s experience of using this service and what we found

The provider and registered manager had taken action in response to the findings at our last inspection, but further improvement was needed to ensure people’s safety. Whilst the quality of the care plans had improved, we found gaps and inconsistencies in some records which could mean people were placed at risk of harm.

The registered manager had shared the responsibility for auditing the service amongst the senior team. The quality and frequency of the audits had improved, and they had been effective in identifying and driving improvement in many areas. Further work was needed, however, to ensure people received consistently safe and effective care.

Staff shared mixed feedback about the culture of the service. Whilst some staff were very happy in the roles and with the support they received, others felt communication needed to improve and did not always feel confident to approach management with issues or concerns.

The home was clean, and staff had been trained in infection prevention and control. There were clear measures in place to manage the risk of the COVID-19 pandemic. We signposted the registered manager to guidance on the wearing personal protective equipment (PPE), specifically face masks.

The provider and registered manager had collaborated openly with a safeguarding enquiry into wound care practice at the home, but had not fulfilled all the requirements under duty of candour. We have made a recommendation about this in the report.

Most people spoke positively about their care and experiences of living at the home. People told us staff were caring and supportive. One person said, “Very good and caring staff here. I have no complaints at all”. A relative told us, “I can’t sing their praises enough, beautiful home, atmosphere is brilliant, all having a good time.”

Since our last inspection, more activity staff had been employed. People cared for in their rooms received regular one to one time and support which made a positive difference to their wellbeing. People spoke positively about the activities on offer and we observed people participating with enthusiasm.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. The recording of best interest decision making had improved since our last inspection.

Staff were skilled in supporting people at the end of their lives. Relatives spoke highly of the care their loved ones had received.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was Requires Improvement (published 11 March 2020). The service remains rated Requires Improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

We received concerns in relation to wound care and infection prevention and control. As a result, we undertook a focused inspection to include the safe key question. We also reviewed the effective, responsive and well-led key questions which were rated as requires improvement at the last inspection.

We reviewed the information we held about the service. No areas of concern were identified in the caring key question. We therefore did not inspect it. The rating from previous comprehensive inspections for that key question was used in calculating the overall rating at this inspec

Inspection areas

Safe

Requires improvement

Updated 6 July 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 6 July 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 6 July 2021

Responsive

Good

Updated 6 July 2021

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 6 July 2021

The service was not always well-led.

Details are in our well-Led findings below.